Traumatic Abdominal Wall Hernia: A case study of blunt motorcycle trauma
Alisan Fathalizadeh, MD, MPH, Lawrence N Cetrulo, MD, Simran Randhava, MD, Parkson Leung, MD, MSc. Albert Einstein Medical CenterA traumatic abdominal wall hernia (TAWH) is a rare entity characterized by disruption of the musculature and fascia of the abdominal wall with preservation of the overlying skin layer following blunt trauma.The elasticity of the abdominal wall… Continue Reading
Trauma Laparoscopy: Repair of Bladder Rupture
Adina E Feinberg, MD1, Colin Botkin, MD, FRCSC2, Todd Penner, MD, FRCSC1. 1University of Toronto, 2University of ManitobaTraditionally, surgical intervention for trauma patients consisted of a standard midline laparotomy and exploration. Trauma laparoscopy has emerged as an attractive alternative due to decreased abdominal wall complications, decreased length of stay in hospital, and decreased overall cost.… Continue Reading
Transversus Abdominis Plane Blocks: A Pilot Study of Feasibility and Ascension up the Learning Curve
Deborah S Keller, MS, MD1, Sergio Ibarra, MD1, Juan R Flores-Gonzalez, MD1, Nisreen Madhoun, DO1, Oscar I Moreno-Ponte, MD1, Eric M Haas, MD, FACS, FASCRS2. 1Colorectal Surgical Associates, Houston, TX, 2Colorectal Surgical Associates, Houston Methodist Hospital, The University of Texas Medical School, Houston, TXBackground: Transversus Abdominis Plane (TAP) blocks are advocated to reduce perioperative pain, narcotic… Continue Reading
TV vs transumbilical extraction in CR resection after minilap approach or SILS approach
Alerjandra Garcia Novoa1, Nicolasa Fernandez Soria1, Sergio Builes Ramirez1, Namibia Sanluis Verdes1, Jose M Munoz2, Gonzalo Martin, MD3, Antonio Melero4, Jose F Noguera, MD, PhD1. 1Hospital A Coruna, 2Hospital Son Llatzer, 3Hospital Universitario Son Espases, 4Consorcio Hsopital General Universitario AIM. To compare the colorectal extraction trought the vagina vs the umbilical incision for SILS technique… Continue Reading
- Topic:
- Basic Science
Transoral Fundoplication offers durable symptomatic control for chronic GERD: 3-year final report from the TEMPO randomized trial with a crossover arm
Karim S Trad, MD1, Mark A Fox, MD2, Gilbert Simoni, MD3, Ahmad B Shughoury, MD4, Mamoon Raza, MD5, Jeffrey A Heise, MD6, Daniel G Turgeon, MD1, Peter G Mavrelis, MD4, William E Barnes, MD7. 1The George Washington University School of Medicine and Health Sciences, Washington, DC, 2Crossville Medical Group, Crossville, TN, 3Advanced Gastroenterology, Inc, Thousand… Continue Reading
Transjejunal Intragastric Resection of a Tumor at the Gastroesophageal Junction in a Patient with a Previous Roux-en-Y Gastric Bypass
Shaina R Eckhouse, MD, Alfredo D Guerron, MD, Nova Szoka, MD, Keri Seymour, DO, Chan W Park, MD, Jin Yoo, MD, Ranjan Sudan, MD, Dana D Portenier, MD. Duke UniverstiyBACKGROUND: Laparoscopic intragastric surgery has recently become an effective treatment for gastric submucosal tumors. However, a paucity of data exists in managing these tumors after bariatric… Continue Reading
Transepithelial Brush Biopsy With Computer-Assisted Analysis Detects Intestinal Metaplasia and Dysplasia Missed by Forceps Biopsy Following Ablation of Barrett’s Esophagus
Jeffrey A Hagen, MD1, Vivek Kaul, MD2, Michael S Smith, MD, MBA3. 1University of Southern California, 2University of Rochester School of Medicine, 3Temple University School orf MedicineBackground: Multiple endoscopic methods are utilized to ablate Barrett’s esophagus (BE) and esophageal dysplasia (ED). The current standard for post-ablation surveillance involves four quadrant forceps biopsies (FB) taken throughout… Continue Reading
Transcystic Duct C-Tube Drainage Ensuring Successful Postoperative Endoscopic Sphincterotomy(EST) in Patients with Failure of Preopertive EST: Initial Experience of 12 Cases
Ying Fan, Shuodong Wu, Jing Kong. Department of the Second General Surgery, Shengjing Hospital of China Medical UniversityObjective To discuss the value of ensuring successful postoperative endoscopic sphincterotomy(EST) of transcystic duct C-tube biliary drainage in patients with failure of preoperative EST. Methods From Jun 2006 to Oct 2014, 12 cases laparoscopic transcystic duct (C-tube) drainage… Continue Reading
Transaxillary Approach for a Retrosternal Parathyroid Adenoma
Despoina Daskalaki, MD, Krisitn Patton, MD, Fabiola Aguilera, MD, Mario Masrur, M Rashdan, F Bianco, Pc Giulianotti, MD, FACS. University of Illinois Hospital and Health Sciences SystemBackground: We present the case of a 46-year-old female that was referred to us for primary hyperparathyroidism. Pre-operative imaging with SPECT CT and chest CT scan confirmed the presence… Continue Reading
Transanal Surgery Using the Novel Triangulating FMX314 Surgical Platform: Initial Experience and Technical Details
Hans F Fuchs, MD1, Karl-Hermann Fuchs, MD2, Garth R Jacobsen3, Bryan J Sandler3, Santiago Horgan, MD3. 1Department of Surgery, University of Cologne, Germany, 2Department of Surgery, Markus Krankenhaus, Goethe University Frankfurt/Main, Germany, 3Center for the Future of Surgery, Department of Surgery, Division of MinimallyOBJECTIVE Reducing access size and trauma are important issues in the concept… Continue Reading
Transanal minimally invasive surgery (TAMIS) with a GelPOINT(r) Path for lower rectal tumor.
Shingo Noura1, Masayuki Ohue2, Norikatsu Miyoshi2, Masayoshi Yasui2, Tae Matsumura1, Masaki Hirota1, Junichi Hasegawa1. 1Osaka Rosai Hospital, 2Osaka Medical Center for Cancer and Cardiovascular DiseasesBackground: Transanal endoscopic microsurgery (TEM) is a minimally invasive technique. However, TEM has not yet achieved widespread use. Recently, transanal minimally invasive surgery (TAMIS) using single-port surgery devices has been reported.… Continue Reading
Transanal laparoscopic repair of rectal anastomotic leak using single port device: Innovative & safe approach
Mohammed K Al Sibani, MDFRCSC1, Kin F Chin, MD, FRCS2, POk E Hong2. 1Armed Forces Hospital, 2University of Malaya Background: Anastomotic leak after anterior resection is a common complication which arises in up to 20% of cases. Preoperative general condition of the patient, level of the anastomosis and duration of operation are considered important contributory factors.… Continue Reading
- Topic:
- Basic Science
Transanal Hartmann Reversal
Borja de Lacy, MD, Raquel Bravo, Marta Jimenez, Maria Fernandez, Luis Flores, Silvia Quaresima, Am Lacy. Hospital Clinic BarcelonaWe show our experience using a combined laparoscopic and transanal approach to re-establish the intestinal continuity in an attempt to improve the surgical technique in patients with Hartmann procedure. We present a 72 year old women with… Continue Reading
Transanal Endoscopic Microsurgery (TEM): Approach to Rectal Sleeve Resection
Saleh M Eftaiha, MD, Johan Nordenstam, MD, PhD. University of Illinois at ChicagoBackground: We present a case of transanal endoscopic microsurgery (TEM) in an approach to rectal sleeve resection. A 46 year old man, with a history of immunosuppression, status post pancreas and kidney transplant, presented with a circumferential rectal stricture 7 cm from the… Continue Reading
‘Training the SAGES trainers’: A step toward raising the bar in the educational value of the hands-on course experience?
Susannah M Wyles1, Erin Schwarz2, Jonathan Dort3, Nabil Tariq4, Tom Cecil5, Mark G Coleman6, John T Paige7, Brian J Dunkin4. 1UCSF, 2SAGES, 3Inova, VA, 4MITIE, Houston, 5Basingstoke, 6Derriford, UK, 7LSUIntroduction: Hands-on courses are expensive to deliver, are costly for delegates to attend, and thus the educational value should be maximized. There is no prerequisite teaching… Continue Reading